Organization Active NPI

Covenant Care Greenwood LLC

  • Skilled Nursing Facility
  • Iowa City, IA
National Provider Identifier
1225364508
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COVENANT CARE GREENWOOD LLC
Practice address
605 Greenwood Dr
Iowa City, IA 52246-2121
Phone
(319) 333-8791
Fax
(319) 351-9225
NPI assigned
Oct 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol A Sparks
Title
Director of Reimbursement
Phone
(949) 349-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

605 Greenwood Dr
Iowa City, IA 52246-2121

Mailing address

605 Greenwood Dr
Iowa City, IA 52246-2121
Phone (319) 333-8791

National Provider Directory

National Provider Directory

Locations

605 Greenwood Dr
Iowa City, IA 52246
Phone (319) 338-7912

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1225364508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 GREENWOOD DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522462121",
            "telephone_number": "319-333-8791",
            "fax_number": "319-351-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GREENWOOD DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522462121",
            "telephone_number": "319-333-8791",
            "fax_number": "319-351-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE GREENWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "949-349-1200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.